Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carbon Health Medical Group of Wisconsin SC

Organization Family Medicine Physician · NPI 1912616194

Carbon Health Medical Group of Wisconsin SC is a Family Medicine Physician in Wauwatosa, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

11415 W Burleigh St Ste 103
Wauwatosa, WI 53222-3217
Phone: (844) 234-7741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1912616194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marley Page — Director · (417) 861-9739
NPI enumeratedNovember 16, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address2100 Franklin St Ste 355, Oakland, CA 94612-3140

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